Pediatric Anesthesia最新文献

{"title":"Procedural sedation and analgesia in pediatric diagnostic and interventional radiology: An expert DELPHI consensus document developed by the ITALIAN scientific society of anesthesia, analgesia, resuscitation and intensive care (SIAARTI).","authors":"Maria Cristina Mondardini, Stefano Pezzato, Luisa Meneghini, Rino Agostiniani, Alessandro De Cassai, Ignazio D'Errico, Carmelo Minardi, Raffaella Sagredini, Fabio Sbaraglia, Caterina Testoni, Francesco Toni, Milo Vason, Angela Amigoni","doi":"10.1111/pan.14936","DOIUrl":"10.1111/pan.14936","url":null,"abstract":"<p><strong>Background: </strong>Children undergoing diagnostic and interventional radiology procedures often require sedation to achieve immobility and analgesia if the procedure is painful. In the past decades, leading scientific organizations have developed evidence-based guidelines for procedural sedation and analgesia in children outside of the operating room. Their recommendations are being applied to procedural sedation in radiology. However, some questions remain open regarding specific aspects contextualized to the radiology setting, such as elective prone sedation, the urgency of the procedure, when venous access or airway protection is required, and others.</p><p><strong>Aims: </strong>To address the unresolved issues of procedural sedation and analgesia in pediatric diagnostic and interventional radiology.</p><p><strong>Methods: </strong>An expert panel of pediatricians, pediatric anesthesiologists, intensivists, and neuroradiologists selected topics representative of current controversies and formulated research questions. Statements were developed by reviewing the literature for new evidence, comparing expertise and experience, and expressing opinions. Panelists' agreement with the statements was collected anonymously using the DELPHI method.</p><p><strong>Results: </strong>Twelve evidence-based or expert opinion incorporate are presented, considering risks, benefits, and applicability.</p><p><strong>Conclusions: </strong>This consensus document, developed by a multidisciplinary panel of experts involved in the field, provides statements to improve the quality of decision-making practice in procedural sedation and analgesia in pediatric radiology.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"999-1010"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Absence of pupillary reflex dilation in response to a laryngeal test stimulus may predict safe tracheal extubation in anesthetized children.","authors":"Daniel Abelson, Merlin D Larson","doi":"10.1111/pan.14949","DOIUrl":"10.1111/pan.14949","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"1073-1075"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141458596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiologic time and anesthesia.","authors":"Brian J Anderson, L Ignacio Cortinez","doi":"10.1111/pan.14969","DOIUrl":"10.1111/pan.14969","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"985-987"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In this issue November 2024.","authors":"","doi":"10.1111/pan.15010","DOIUrl":"https://doi.org/10.1111/pan.15010","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Auricular laser acupuncture as an adjunct for parental anxiety management during children's surgery: A randomized‐controlled study","authors":"Wenrui Lin, Michelle A. Fortier, Haydee Cortes, Zeev N. Kain, Shu‐Ming Wang, Guann‐Pyng Li","doi":"10.1111/pan.14998","DOIUrl":"https://doi.org/10.1111/pan.14998","url":null,"abstract":"BackgroundPediatric surgery is associated with high levels of anxiety for both children and parents/caregivers. To mitigate anxiety, auricular acupuncture has shown its potential in the perioperative setting. Accordingly, our team developed a wearable prototype auricular laser acupuncture system, AcuHealth V1.0, as a portable acupuncture device and conducted a proof‐of‐concept evaluation with parents of children undergoing surgery.AimsThe primary aim of this study was to conduct feasibility testing of the AcuHealth V1.0 system in delivering auricular laser acupuncture.MethodsParents of children who were scheduled to undergo outpatient surgery were randomly assigned to one of three groups: authentic acupuncture (laser beams at known anxiolytic acupoints, <jats:italic>n</jats:italic> = 13), sham acupuncture (non‐anxiolytic acupoints, <jats:italic>n</jats:italic> = 14), or a placebo control group (inactive laser, <jats:italic>n</jats:italic> = 14). Parent self‐reported anxiety (0–10 numerical rating scale) was assessed at baseline, pre‐intervention (once child was taken to the OR), post‐intervention, and at 30 min after the intervention. Usability and acceptability data regarding the device were assessed after the intervention.ResultsBaseline data revealed no significant difference in anxiety between the three groups. Parent‐reported anxiety level at 30‐min post‐intervention as compared to baseline in the authentic group was significantly decreased (delta mean ± std = −3.58 ± 2.07) compared to both the sham acupuncture (−1.35 ± 2.65) and placebo control group (0.54 ± 1.13). Evaluation of changes in parent‐reported anxiety between groups over time using two‐way repeated‐measures analysis of variance (ANOVA) revealed a significant difference between the three groups (<jats:italic>p</jats:italic> = 0.001). Post hoc analysis with Scheffe test pairwise comparisons showed that at 30‐min post‐intervention compared to baseline, the authentic intervention group was significantly less anxious compared with both the sham group (<jats:italic>p</jats:italic> = 0.033) and the placebo control group (<jats:italic>p</jats:italic> = 0.001). Additionally, feedback regarding the usage of the device supported the acceptability and usability of the device with no adverse events.ConclusionsThis pilot study administering laser auricular acupuncture via the AcuHealth V1.0 system decreased parental anxiety after 30 min in parents who received treatment immediately after their children were taken to the operating room with no adverse effect.","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":"19 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142265215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's picks for the pediatric anesthesia article of the day: June 2024","authors":"Melissa Brooks Peterson, Myron Yaster, Justin L. Lockman","doi":"10.1111/pan.15008","DOIUrl":"https://doi.org/10.1111/pan.15008","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":"52 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142265216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can learning from military history help us improving neonatal intubation success rates?","authors":"Lukas P. Mileder","doi":"10.1111/pan.14996","DOIUrl":"https://doi.org/10.1111/pan.14996","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":"60 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cover","authors":"Daniel Abelson, Merlin D. Larson","doi":"10.1111/pan.14993","DOIUrl":"https://doi.org/10.1111/pan.14993","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":"13 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to healthcare access for children with congenital heart disease in eight Latin American countries.","authors":"Rodrigo Lopez-Barreda, Lorena Schaigorodsky, Claudia Rodríguez-Pinto, Wilbaldo Salas, Yamile Muñoz, Bianca Betanco, Oscar Angulo, Marina Huamán, Gladys Lejbusiewicz, Victor Pedrero, Milena Pavlova, Wim Groot, Juan C Ibla","doi":"10.1111/pan.14880","DOIUrl":"10.1111/pan.14880","url":null,"abstract":"<p><strong>Background: </strong>Mortality from congenital heart disease has decreased considerably in the last two decades due to improvements in overall health care. However, there are barriers to access to healthcare in Latin America for this population, which could be related to factors such as healthcare system, policies, resources, geographic, cultural, educational, and psychological factors. Understanding the barriers to access to care is of paramount importance for the design and implementation of policies and facilitate the provision of care.</p><p><strong>Aim: </strong>The aim of the study was to investigate the perception of barriers to access to health care on parents/guardians of children with congenital heart disease in selected Latin American countries.</p><p><strong>Methods: </strong>A descriptive, cross-sectional study, in which parents/guardians or primary caregivers of children with congenital heart disease was recruited to participate and surveyed. Once the informed consent process had been completed, a set of paper-based scales was used to collect data, namely socioeconomic and demographic information, the Barriers to Care for Children with Special Health Care Needs Questionnaire, and the General Health Questionnaire.</p><p><strong>Results: </strong>In total, 286 participants completed the surveys, with an average age of 34.81 years and 73.4% being female. Mean score of overall barriers was 54.45 (minimum score 39, maximum score 195, higher scores show greater perception of barriers). In Mexico, the parents/guardians of children perceived fewer barriers to access (46.69), while Peru is the country where the most barriers were perceived (69.91). Nonpoor participants showed higher overall barrier perception scores (57.34) than poor participants (52.58). The regression analysis demonstrated the overall perception of barriers was positively associated with individual and social factors, such as educational level, contract status, household monthly income, and psychological well-being and with the country of the participants.</p><p><strong>Conclusions: </strong>Multiple factors are associated with the perception of barriers to accessing health care for children with congenital heart disease, including socioeconomic status, expectations, psychological well-being, and structural factors.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"893-905"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140185154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric anesthesia in China.","authors":"Liu Zhang, Deying Xie, Bo Li, Dongxu Lei, Bo Zhu, Jing Hu, Jijian Zheng, Jianmin Zhang, Ying Xu, Yunxia Zuo, Xingrong Song","doi":"10.1111/pan.14902","DOIUrl":"10.1111/pan.14902","url":null,"abstract":"<p><p>In China, healthcare has lagged relative to its economic boom during the past 40 years. While the top tier hospitals offer pediatric perioperative care like high-income countries, lower-tier hospitals deliver lesser services of variable quality and safety related to equipment, supplies, clinician education, and availability. The national residency training program and the pediatric anesthesia fellowship program was established in 2013 and 2018 respectively. Increasing clinician workload from patient demand and a lack of consistency in quality and capability between rural and urban areas remain challenging.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"941-949"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}